Organization Active NPI

Doc on the Go Inc

  • Adult Health Nurse Practitioner
  • Oyster Bay, NY
National Provider Identifier
1457219958
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
DOC ON THE GO INC
Practice address
21 W Main St
Oyster Bay, NY 11771-2262
Phone
(917) 330-1803
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miriam Pavlovsky, APRNNPI 1285158931
Title
Owner
Phone
(917) 330-1803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

21 W Main St
Oyster Bay, NY 11771-2262

Mailing address

125 Sagamore Dr
Syosset, NY 11791-1613

Other practice location 1

34 Route 9 N
Morganville, NJ 07751-1526
Phone (917) 330-1803

Other practice location 2

174 Evergrene Pkwy
Palm Beach Gardens, FL 33410-1507
Phone (917) 330-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302000298 NY Part B Supplier - Clinic/Group Practice 1557843406 Receives reassigned benefits from 1 practitioner
Practice locations: Oyster Bay, NY

National Provider Directory

National Provider Directory

Locations

34 Route 9 N
Morganville, NJ 07751
Phone (917) 330-1803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1457219958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAGAMORE DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712262",
            "telephone_number": "917-330-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Route 9 N",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077511526",
            "country_code": "US",
            "telephone_number": "917-330-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Evergrene Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334101507",
            "country_code": "US",
            "telephone_number": "917-330-1803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOC ON THE GO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "PAVLOVSKY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-330-1803",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.